1. Thank you for taking the time to include your information below.

2. Primary Website:

3. Describe your business right now in terms of products, programs, and services. What results are you getting?

4. What is your current business model? I.e., how does your business make money? (Please describe below.) Are you looking to refine or reinvent that model?

5. List the 3 biggest obstacles you feel you need the support and power of an Expert Mentor & Peer Group to work through over the next 6-12 months?

6. Why do you feel a Mastermind Group is right for you & what you need at this time?

7. What do feel are your greatest strengths that you will bring to this Mastermind Group?

8. How ready and willing are you to invest in yourself and your business right now to take more decisive-guided action in order to achieve the results you desire?

9. What is your average gross revenue per month for January – April of 2013? What is your projected annual gross income for 2013? What would you like it to be in 12-18 months?

10. What's your ultimate desired outcome from joining this Mastermind Group?

11. Thank you for taking the time for yourself/your business to submit this application. Please use this space to include anything else you might want to share with us. :)